title: Dorsal wedge osteotomy in the treatment of hallux rigidus.
abstract: The results of 18 dorsal wedge osteotomies in the treatment of hallux rigidus are presented. Patients were retrospectively interviewed and examined, and an assessment was made in a number of key functional areas. Good or excellent results were obtained in 14 or 18 cases at a mean follow-up time of 4 years with only one patient requiring further surgery. Pain (p = 0.00014), activity levels (p = 0.0019), footwear difficulties (p = 0.0016), and joint range of motion (p = 0.0001) were all significantly improved; tiptoeing was the only activity assessed (p = 0.23) for which the improvement was not significant. These results compare well with other published series. We recommend dorsal wedge osteotomy as a useful alternative in the treatment of hallux rigidus.
authors.affiliation: Orthopaedic Department, Stobhill Hospital, Glasgow, Scotland.
authors.forename: M J
authors.initials: MJ
authors.lastname: Blyth
authors.forename: D C
authors.initials: DC
authors.lastname: Mackay
authors.forename: A W
authors.initials: AW
authors.lastname: Kinninmonth
mesh_terms: D000328:Adult; D000368:Aged; D001174:Arthrodesis; D005260:Female; D005500:Follow-Up Studies; D005529:Foot Bones / Q000601:surgery*; D005534:Foot Diseases / Q000503:physiopathology / Q000601:surgery*; D006214:Hallux / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008683:Metatarsophalangeal Joint / Q000503:physiopathology; D008875:Middle Aged; D010003:Osteoarthritis / Q000150:complications; D010027:Osteotomy / Q000379:methods*; D016059:Range of Motion, Articular; D012189:Retrospective Studies